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Order Form - For Delivery Destinations outside India
"Biomedical Technology -Tips & Techniques" is priced at US$ 10/EURO 8 (inclusive of shipping and handling charges). Delivery period 2 - 3 weeks from the date of receipt of the order. Kindly fill up the following form and mail to:
Business Development Executive
Classic Computer Services
B-4, Mandir Apt., Opp. P & T Colony ,
Jodhpur Char Rasta, Ahmedabad - 380015.
India.
Phone: +91-79-26740611 E-Mail: sales@medisourceasia.com
Yes. /_/ I would like to buy _________ copy/ies. ( Please indicate no. of copies )
Name:
______________________________________________________________
Company:___________________________________________________________
Address:____________________________________________________________
____________________________________________________________
City: ____________
Pin Code:__________State:__________Country:_________
Phone:________________Fax:_______________E-Mail:______________________
Payment :
Enclosed is my DD/cheque in favour of "Classic
Computer Services" payable at Ahmedabad.
DD/Cheque No:_______________Date:___________Amount
USD/EURO ______________
Bank: _______________________Branch/Address:________________________
_______________________________________________________________
Signature:_________________________